Quality and Compliance Manager

Job Title: Quality & Compliance ManagerFLSA Status: ExemptSalary Range: See Salary Scale Job Summary : Under the general Direction of the Director of Quality & Corporate Compliance, develops and implements a Quality Improvement (QI) program for Senior Total Life Care, including an annual review and update of the quality improvement plan; development and implementation of program wide and center specific quality indicators; data management; education and training of program staff around quality improvement; preparation of routine and special reports; and coordination of improvement efforts arising from monitoring activities. Reports to the Director of Quality & Corporate Compliance. Specifications Education : Bachelor’s degree in health-related field required, master’s degree preferred Experience : 2 years in healthcare quality improvement. Clinical background prefered. One year experience working with the frail elderly population . Number and Type of Employees Supervised (opt) : 2 Quality Coordinators, 1 Clinical Pharmacist, 1 Quality & Compliance Specialist Licensure, Registry or Certification Required : NAHCQ PreferredRequirements Special Knowledge, Skills, Physical Requirements, or other factors : Ability to communicate efficiently, and effectively in a collaborative manner. Experience with Electronic Medical Record systems Proficient in Microsoft Office Suite Programs (Word, Excel, Power Point at a minimum) General understanding of behavioral patterns and attitudes common in varying degrees with aging population served and staff. Ability to deal patiently and fairly with staff, participants and others. Ability to maintain effective working relationships and present and support an atmosphere of teamwork Work involves a broad range of problems, many of a complex nature – must be able to work independently, make sound judgments based on assessment and data available and to act accordingly; must be flexible, innovative, and possess good interpersonal skills; must be able to prioritize multiple functions and/or tasks Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contactAges Of Patients Rendered Care Key Responsibilities : (*denotes an age-related skill or task) Supports the Quality Coordinator & Center Managers on regulatory requirements &/or changes of the SDAG process. Supervises the Quality Coordinator(s), Quality & Compliance Specialist and Clinical Pharmacist, ensuring (s)he completes assigned tasks as determined by the Quality & Compliance Manager, Director of Quality and Corporate Compliance, Medical Director, and Executive Director. Oversees the Quality Coordinator(s) in conducting an annual review of the Quality Improvement (QI) program for STLC and updates plan as appropriate, for presentation to Quality Committee, Leadership Team and the STLC Board of Directors. Supports Quality Coordinator in communicating applicable policies and procedures to leadership and STLC Board of Directors. Oversees & coordinates the development & implementation of program wide & center specific quality indicators. Oversees & assists Quality Coordinator with education for staff on QI activities & techniques. Assists in performing the appropriate statistical analysis to ensure consistency & ease of presentation & review to detect trends, patterns, & opportunities for improvements as well as potential problems. Coordinates and participates with national & state initiatives in PACE quality management initiatives. Oversees and assists Quality Coordinator with Corrective Action Plans (CAPs) as directed by the Medical Director and/or Leadership Team when opportunities for improvement are identified. Participates in priority setting with the Leadership Team, in consultation with staff and participants, and determines priorities for performance improvement at least annually for all sites. Assists Quality Coordinator in ensuring compliance with Federal, State, & Local laws & regulations. Supports and oversees the creation and maintenance of the PACE Audit Universe Data Sets, which are required by CMS regulations. Facilitates quarterly mock audits for all sites and works in collaboration with Quality Coordinators and Center Managers on areas of focus and action plans. Completes at least monthly QI plan reviews with Quality Coordinators, identifying areas of focus for each site based on internal goals and outcomes. Supports Senior TLC’s mission to encourage & support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; & its values of respect, integrity, accountability, compatible goals, and compassionate care. Additional duties as assigned by the Medical Director, Executive Director, Director of Quality & Compliance.